Review for Diagnostics of the Year: Inflammatory Choroidal Neovascularization - Imaging Update.
Ghazi Bou GhanemPiergiorgio NeriRosa Dolz-MarcoThomas AlbiniAmani A FawziPublished in: Ocular immunology and inflammation (2022)
Inflammatory choroidal neovascularization (iCNV) is a rare complication of uveitis but is a major cause of vision compromise in affected patients. Fluorescein angiography (FA) has been the gold standard for diagnosis. However, it is an invasive modality and when used alone, it might be difficult to distinguish iCNV from inflammatory lesions. Optical coherence tomography (OCT) is a noninvasive and rapid imaging modality that can provide additional features to diagnose iCNV. OCT angiography (OCTA) uses intrinsic motion contrast to visualize flow and is useful to distinguish iCNV from inflammatory lesions. However, its role in evaluating iCNV activity and treatment response is still unclear and more studies are required to reach consensus. In conclusion, the use of data from multimodal imaging is necessary to identify and promptly treat iCNV, thus preserving patient vision.
Keyphrases
- optical coherence tomography
- diabetic retinopathy
- high resolution
- oxidative stress
- optic nerve
- end stage renal disease
- computed tomography
- magnetic resonance
- ejection fraction
- chronic kidney disease
- vascular endothelial growth factor
- rheumatoid arthritis
- magnetic resonance imaging
- juvenile idiopathic arthritis
- electronic health record
- pain management
- big data
- endothelial cells
- artificial intelligence
- fluorescence imaging
- deep learning
- high speed
- quantum dots
- loop mediated isothermal amplification